Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.90 / $43.90 / $56.18	Facility	26	$43.90	$43.90	$56.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.44 / $82.58 / $119.71	Professional		$73.44	$82.58	$119.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.03 / $43.90 / $62.35	Professional	26	$40.03	$43.90	$62.35
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $33.36 / $40.36 / $57.36	Professional	TC	$33.36	$40.36	$57.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.09 / $77.64 / $102.17	Professional		$77.09	$77.64	$102.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.65 / $70.18 / $114.37	Professional		$59.65	$70.18	$114.37
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $30.99 / $42.45 / $65.20	Professional	26	$30.99	$42.45	$65.20
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.80 / $28.66 / $50.71	Professional	TC	$16.80	$28.66	$50.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $39.58 / $51.25 / $100.92	Professional		$39.58	$51.25	$100.92
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.00 / $50.00 / $50.00	Facility	26	$50.00	$50.00	$50.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.56 / $98.91 / $163.36	Professional		$66.56	$98.91	$163.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.67 / $60.56 / $91.30	Professional	26	$41.67	$60.56	$91.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.76 / $38.84 / $72.17	Professional	TC	$19.76	$38.84	$72.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.09 / $32.34 / $66.87	Professional		$27.09	$32.34	$66.87
United Facility/Professional Professional Modifier Low / Median / High Price $65.61 / $85.87 / $165.37	Professional		$65.61	$85.87	$165.37
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.67 / $55.47 / $91.00	Professional	26	$38.67	$55.47	$91.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.70 / $37.70 / $74.26	Professional	TC	$20.70	$37.70	$74.26